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1154861995
JADE BRYANT
PUEBLO, CO
NPI
1154861995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO 0992962)
Enumeration Date
2017-02-27
Last Update Date
2024-03-04
Business Address
JADE BRYANT FNP-BC
1910 LAKE AVE
PUEBLO, CO 81004-3322
Phone number: 719-582-1489
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Mailing Address
JADE BRYANT FNP-BC
19 E ABARR DR # 200
PUEBLO, CO 81007-5436
Phone number: 719-582-1489
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